NUR 495: Baccalaureate Nursing Capstone

Course Description

Synthesis of the baccalaureate nursing role is demonstrated by application of theories and concepts from nursing, liberal arts, and science to respond to complex and specific needs of diverse populations. Students identify and provide rationale/ justification for a project related to a specific population health challenge. Students investigate and analyze current relevant knowledge, design and implement a project to address the identified challenge and evaluate the impact. Written and oral project presentation required.

The classroom component of NUR 495 incorporates structured group assignments; see course content folders for specific information about each group assignment and the course policies for detailed guidelines. Students must be aware that all group members have equal ownership and responsibility for the end-product submitted to meet the requirements for each assignment.  All group members receive the same grade for the assignment and are equally accountable to standards of academic honesty applied to the entire submission.  

Course registration requires approval from the Director of the RN/ADN to BSN Program.

(4 credits- 2 credits classroom, 2 credits Practicum)

Note: Students must succeed in the practicum component of NUR 495 in order to pass the course. In order to pass the practicum component of the course students must achieve all of the following:

  • A Level of Performance of Satisfactory (4) on each Practicum Student Learning Outcome (SLO) on the Practicum Evaluation Form by the end of the practicum experience
  • A grade of 73% or higher on the Weekly Reflective Practicum Journal
  • A grade of 73% or higher on the Poster Presentation
  • Submission of midterm and final Capstone Mentor Student Assessment Surveys
  • Submission of Project Planning & Implementation Timeline Worksheet, signed, at weeks 3 and 8 and/or upon faculty request

Students who do not meet these requirements will receive a grade of "F" for the entire course regardless of performance in other areas of the course.

Prerequisites

  • ENG 101: English Composition 1
  • ENG 102: English Composition 2
  • NUR 301: Baccalaureate Nursing Role
  • NUR 310: Healthcare Policy, Economics, Regulation and Ethics
  • NUR 315: Nursing Research and Expanded Evidence-Based Practice
  • NUR 320: Population Health
  • NUR 400: Continuous Quality Improvement, Safety and Interprofessional Collaboration
  • NUR 410: Organization and Systems Leadership Across the Continuum of Care
  • NUR 494: Final Preparation for the Baccalaureate Capstone
  • All other Liberal and General Education requirements for the BSN must be met prior to enrollment in NUR 495

Student Learning Outcomes (SLOs)

Upon completion of this course, the student will have gained knowledge about:

  1. Identify specific health challenges of a selected population.
  2. Negotiate appropriate site to accomplish project.
  3. Determine and describe rationale for one challenge of the population amenable to intervention.
  4. Identify and analyze current, relevant literature that addresses components of the population’s challenge
  5. Apply a broad range of theory and concepts to design a project that addresses the specific challenge.
  6. Implement project and assess outcomes.
  7. Analyze alternate strategies that could improve outcomes.
  8. Discuss how the project demonstrates baccalaureate nursing role competencies, has contributed to personal professional development and influences future practice.
  9. Exhibit scholarship including sound written and oral presentation skills.

Course Activities and Grading

AssignmentsWeight

Week 1

 
  • Weekly Reflective Practicum Journal
  • Poster Presentation: Abstract
  • Discussion Forum

2.5%

Component of Poster Presentation

3%

Week 2

 

Weekly Reflective Practicum Journal

NOFCC Analysis Group Activity #1

  • Group Assignment
  • Discussion Forum

2.5%

 

6%

3%

Week 3

 

Weekly Reflective Practicum Journal

NOFCC Analysis Group Activity #2

  • Group Assignment
  • Discussion Forum

2.5%

 

6%

3%

Week 4

 

Weekly Reflective Practicum Journal

Midterm Capstone Mentor Student Assessment Surveys due

Submit Project Planning & Implementation Timeline Worksheet, Signed 

2.5%

Component of Formative Practicum Evaluation 

Component of Formative Practicum Evaluation (P/F)

Week 5

 

Weekly Reflective Practicum Journal

Formative Practicum Evaluation

NOFCC Analysis Group Activity #3

  • Group Assignment
  • Discussion Forum

2.5%

Component of Practicum Grade (P/F)

 

6%

3%

 Week 6 

Weekly Reflective Practicum Journal

Poster Presentation: PICO-T, NOFCC, RCA, Diagram, PDSA, IP Team

NOFCC Analysis Group Activity #4

  • Group Assignment
  • Discussion Forum

2.5%

Component of Poster Presentation

 

6%

3%

Week 7

 

Weekly Reflective Practicum Journal

Optional: Submit Complete Poster Presentation for faculty feedback

AACN Domain 4: Scholarship for the Nursing Discipline: Capstone Application

  • Individual Assignment: Scholarship for Nursing Practice: How I Worked It!

2.5%

NA

 

 

7%

Week 8

 

Weekly Reflective Practicum Journal

Submit Project Planning & Implementation Timeline Worksheet, Signed

Midterm Capstone Mentor Student Assessment Surveys

Summative Practicum Evaluation

Practicum Project Poster Presentations

Discussion Forum

2.5%

Component of Summative Practicum Evaluation

Component of Summative Practicum Evaluation

Component of Practicum Grade (P/F)

30%

3%

Weeks 1-8: Practicum Project & all related activities: 
Weekly Reflective Practicum Journal20%

Capstone Mentor Student Assessment Surveys

Component of Summative & Formative Practicum Evaluations

Practicum Evaluations (using Practicum Evaluation Form) [Weeks 5 & 8]

Pass/Fail
Poster Presentation (3 steps: Weeks 1, 6, & 8)30%
Discussion Forums (Weeks 1, 2, 3, 5, 6, & 8)18%
Group Assignments (Weeks 2, 3, 5, & 6 )24%
Individual Assignment (Week 7)8%

Total

100%

 

Required Textbooks

Available through Charter Oak State College's Book Bundle

  • Textbooks and other materials utilized throughout the program in NUR 301, 310, 315, 320, 400, and 410 may be referenced

Additional Resources

Open access resources:

  1. American Association of Colleges of Nursing (AACN) (2021). The Essentials: Core Competencies for Professional Nursing Education, (February 2021) Retrieved from: https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf
  2. American Nurses Association (2015). Incivility, Bullying, and Workplace Violence: ANA Position Statement. https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/incivility-bullying-and-workplace-violence/
  3. American Nurses Credentialing Center (ANCC). The ANCC Magnet Recognition Model. Magnet Recognition Program | ANCC | ANA Enterprise (nursingworld.org)
  4. Clark, C. (2020). An upstanding approach to address bullying in nursing. American Nurse. https://www.myamericannurse.com/an-upstanding-approach-to-address-bullying-in-nursing/
  5. Frankel A, Haraden C, Federico F, Lenoci-Edwards J. (2017). Institute for Healthcare Improvement. A Framework for Safe, Reliable, and Effective Care, White Paper and Slide Presentation. A Framework for Safe, Reliable, and Effective Care | IHI - Institute for HealthcareImprovement
  6. Massachusetts Department of Higher Education (2016). Massachusetts Nurse of the Future Core Competencies (NOFCC). https://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf
  1. Redulla, R. (2021). Creating a Compelling Poster. American Nurse Journal. 16:6, 14-17. https://www.myamericannurse.com/creating-a-compelling-poster/.  
  2. Taylor, S. & Waterval, E. (2024). Electronic Peer Review and CLABSI Rates. American Nurse Journal, 19:1, 38-41. https://www.myamericannurse.com/electronic-peer-review-and-clabsi-rates/

Course Schedule

Week

PLOs

SLOs

Readings and Exercises

Assignments

1

1-5, 7-10

1-5, 7-9

Topics:

  1. Revisit your project plans with your Organizational Mentor, your Practicum Site, and course Faculty
  2. Beginning Poster Presentation/Dissemination: Create an Abstract on your Capstone Project and share with classmates (Discussion Board)
  3. Create a Weekly Reflective Practicum Journal
    • Alignment of your Capstone with five or more NOFCCs

Resources:

  • Review Mini Lecture: Living the NOFCC Part I
  • Schedule and attend a virtual practicum progress report meeting (30 min.) with the faculty and your mentor
  • Discussion Forum: Utilizing the COSC RN-BSN Poster Template and principles from Foote, J., draft the Abstract of your poster presentation within the template
    • Present to your classmates on the Discussion Forum by Wednesday at 11:59 PM.
    • Post comments to at least 2 of your classmates by Sunday at 11:59 PM
  • Establish your Weekly Reflective Practicum Journal in Blackboard following the prompt to complete the alignment of your capstone project with five or more NOFCCs; due Wednesday at 11:59 PM
    • Journal entries are due each Sunday by 11:59 PM, beginning in Week 2).

2

 1-10

1-9

Topics:

  1. Practicum Week 1, Weekly Reflective Practicum Journal
  2. NOFCC Analysis Group Activity #1: Focus on NOFCCs Patient Centered Care, Safety, Quality Improvement, and Evidence-Based Practice
    • Group Assignment
    • Discussion Board

Resources:

  1. Massachusetts Department of Higher Education (2016). Massachusetts Nurse of the Future Core Competencies. https://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf
  2. Frankel A, Haraden C, Federico F, Lenoci-Edwards J. (2017). Institute for Healthcare Improvement. Framework for Safe, Reliable, and Effective Care, White Paper and Slide Presentation. A Framework for Safe, Reliable, and Effective Care | IHI - Institute for Healthcare Improvement
  • Review Mini Lecture: Living the NOFCC Part II
  • See Guidelines for Group Activity
  • Participate in Group Activity #1:
    • Complete Group Assignment by Wednesday at 11:59 PM
    • Post at least 2 comments to each of the other groups via the Discussion Board by Sunday at 11:59 PM
  • Submit Weekly Reflective Practicum Journal by Sunday at 11:59 PM

3

 1-10

1-9

Topics:

  1. Practicum Week 2, Weekly Reflective Practicum Journal
  2. NOFCC Analysis Group Activity #2: Focus on NOFCCs Communication, Leadership, Teamwork & Collaboration, and Evidence-Based Practice
    • Group Assignment
    • Discussion Board

Resources:

  1. Massachusetts Department of Higher Education (2016). Massachusetts Nurse of the Future Core Competencies. https://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf
  2. Frankel A, Haraden C, Federico F, Lenoci-Edwards J. (2017). Institute for Healthcare Improvement. Framework for Safe, Reliable, and Effective Care, White Paper and Slide Presentation. A Framework for Safe, Reliable, and Effective Care | IHI - Institute for Healthcare Improvement
  • Review Mini Lecture: Living the NOFCC Part III
  • Participate in Group Activity #2:
    • Complete Group assignment by Wednesday at 11:59 PM
    • Post at least 2 comments to each of the other groups via the Discussion Board by Sunday at 11:59 PM
  • Submit Weekly Reflective Practicum Journal in Blackboard by Sunday at 11:59 PM

4

 1-10

1-9

Topics:

  1. A Week of Reflection on Your Capstone Experience
  2. Practicum Week 3, Weekly Reflective Practicum Journal, Midterm Reflection
  3. Midterm Capstone Mentor Student Assessment Surveys due
  4. Submit Project Planning & Implementation Timeline Worksheet, Signed

Resources:

  1. Frankel A, Haraden C, Federico F, Lenoci-Edwards J. (2017). Institute for Healthcare Improvement. Framework for Safe, Reliable, and Effective Care, White Paper and Slide Presentation. A Framework for Safe, Reliable, and Effective Care | IHI - Institute for Healthcare Improvement
  • Review Mini Lecture: Living the NOFCC Part IV
  • Participate in Group Activity #3:
    • Complete Group assignment by Wednesday at 11:59 PM
    • Post at least 2 comments to each of the other groups via the Discussion Board by Sunday at 11:59 PM
  • Submit Week 3 Weekly Reflective Practicum Journal by Sunday at 11:59 PM
  • Schedule and attend a virtual meeting (30 min.) with the faculty and your mentor to be held no later than with the faculty and your mentor to be held no later than Friday at 4PM
    • Purpose
    • Progress Report
    • Completion of Formative Practicum Evaluation

5

 1-10

1-9

Topics:

  1. Practicum Week 4, Weekly Reflective Practicum Journal
  2. Formative Practicum Evaluation
  1. Group Activity #3: Focus on NOFCCs Professionalism, Systems-Based Practice, Informatics & Technology, and Evidence-Based Practice
    • Group Assignment
    • Discussion Board

 

  • Review Mini Lecture: Living the NOFCC Part V
  • Participate in Group Activity #4
    • Complete Group assignment by Wednesday at 11:59 PM
    • Post at least 2 comments to each of the other groups via the Discussion Board by Sunday at 11:59 PM
  • Submit Weekly Reflective Practicum Journal by Sunday at 11:59 PM

6

 1-10

1-9

Topics:

  1. Practicum Week 5, Weekly Reflective Practicum Journal
  2. Group Activity #4: NOFCC/AACN BSN Essentials Alignment (see detailed instructions in assignment)
    • Focusing on all ten of the NOFCCs using the template provided, align the NOFCC with the AACN  Essentials  for Entry Level Professional Nursing Education:
      • Group 1: choose Domain 1, 2, or 4*
      • Group 2: choose Domain 3, 5, or 6*
      • Group 3: choose Domain 7, 8, or 9*

*Refer to sample for Domain 10

  • Group Assignment
  • Discussion Board
  1. Continuing Dissemination: Integrating your capstone project planning and experiences into your poster presentation

Resources:

  1. Massachusetts Department of Higher Education (2016). Massachusetts Nurse of the Future Core Competencies. https://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf.
  2. American Association of Colleges of Nursing (AACN) (2021). The Essentials: Core Competencies for Professional Nursing Education, https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf
  • Review Mini Lecture: Blending the NOFCC & the AACN BSN Essentials, Part I
  • Participate in AACN/ NOFCC Comparison Group Activity #5:
    • Complete Group assignment by Wednesday at 11:59 PM
    • Post at least 2 comments to each of the other groups via the Discussion Board by Sunday at 11:59 PM
  • Utilizing the COSC RN-BSN Poster Template, submit by Sunday at 11:59 PM, the completion of additional components of your poster presentation:
    • PICO-T Question
    • NOFCC Alignment
    • Root Cause Analysis & one Diagram
    • Model for Improvement: Plan, Do, Study, Act
    • Interprofessional Team Members
  • Submit Week 5 Weekly Reflective Practicum Journal by Sunday by 11:59 PM

7

1-10

1-9

Topic:

  1. Practicum Week 6, Weekly Reflective Practicum Journal
  2. AACN Domain 4: Scholarship for the Nursing Discipline: Capstone Application
    • Individual Assignment: Scholarship for Nursing Practice: How I Worked It!
    • Optional: Submit Complete Poster Presentation for faculty review and feedback
  3. Optional: Submit Complete Poster Presentation for faculty review and feedback
  • Review Mini Lecture: Blending the NOFCC & the AACN BSN Essentials, Part II
  • Participate in Group Activity #6
    • Complete Group assignment by Wednesday at 11:59 PM
    • Post at least 2 comments to each of the other groups via the Discussion Board by Sunday at 11:59 PM
  • Schedule and attend a virtual meeting (30 min.) with the faculty and your mentor to be held no later than Friday at 4:00 PM:
    • Purpose
    • Progress Report
    • Completion of Formative Practicum Evaluation
  • Submit Weekly Reflective Practicum Journal by Sunday 11:59 PM EST

8

 1-10

1-9

Topics:

  1. Practicum Week 7 (Final Week), Weekly Reflective Practicum Journal
  2. Submit Project Planning & Implementation Timeline Worksheet, Signed
  3. Final Capstone Mentor Student Assessment Surveys due
  4. Summative Practicum Evaluation Reports
  5. Practicum Poster Presentations to Classmates (Discussion Board), Faculty, and practice setting colleagues
  • Submit Week 7 Weekly Reflective Practicum Journal by Sunday by 11:59 PM
  • Participate in Summative Practicum Evaluation with faculty
  • Schedule a one on one WebEx meeting (30 min.) with the faculty to be held no later than Sunday at 4:00 PM
  • Poster Presentation to classmates and faculty
    • Utilizing the COSC RN-BSN Poster Template provide your poster to your classmates as an attachment via the Discussion Board by Wednesday at 11:59 PM
    • Post comments to at least 4 of your classmates Poster Presentations via the Discussion Board by Sunday at 11:59 PM
  • Utilizing the COSC RN-BSN Poster Template, submit your final poster presentation to the faculty by Sunday at 1159 PM. You may integrate feedback from your classmates.
    • Be certain your poster presentation contains the following elements:
      • PICO-T Question
      • NOFCC Alignment
      • Root Cause Analysis & one Diagram
      • Model for Improvement: Plan, Do, Study, Act
      • Interprofessional Team Members
      • Approach
      • Outcomes/Data
      • Conclusions/Evaluation
      • EBP & TJC NPSG References

Late Work Policy

Due to the accelerated nature of the NUR 300 & 400 courses, late work severely limits meaningful engagement with students, peers, and faculty, and jeopardizes collaboration and exchange of ideas.

All assignments must be completed and submitted to pass the course, regardless of how late.

COSC Accessibility Statement

Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.

COSC Policies, Course Policies, Academic Support Services and Resources

Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.